Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Smith

Individual provider Behavior Technician · NPI 1164125746

Jacob Smith is a Behavior Technician in Kenai, Alaska. Licensed in Alaska. Registered with an NPI since 2023.

Licensed in
AK
In the registry since
2023
Specialties on file
2

Practice location Address checks out

508 Upland St
Kenai, AK 99611-8026
Phone: (907) 335-7500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (AK)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1164125746
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2023
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address508 Upland St, Kenai, AK 99611-8026

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